MR. KENNETH T. MILLER JR. (NPI# 1629012109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629012109 |
| Entity Type | Individual |
| Full Name | MR. KENNETH T. MILLER JR. |
| Credential | M.D. |
| Practice Address |
160a W Tennesse Ave Oak Ridge TN 37830-6940 |
| Mailing Address |
969 Oak Ridge Turnpike, Pmb 222 Oak Ridge TN 37830-8832 |
| Practice Telephone | 8658353740 |
| Practice Fax Number | 8653853742 |
| Mailing Telephone | 8654824028 |
| Mailing Fax Number | 8654813257 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2015-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD0000010495 | TN | Other Service Providers |
| N | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3163832 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124583760 | Kenneth R Miller Jr. | Registered Nurse | 3430 Dunran Rd, Baltimore, MD 21222-5946 | 2019-02-07 |
| 1841649589 | Kenneth John Miller | Anesthesiology | 4098 Scarlet Iris Pl, Winter Park, FL 32792-9412 | 2016-06-03 |
| 1679978415 | Kenneth Dean Miller | Pharmacy Technician | 1320 N 184th Ct, Shoreline, WA 98133-4538 | 2014-10-22 |
| 1497052526 | Kenneth Eric Miller | Psychologist | 22 Whitney Ave # 2, Cambridge, MA 02139-4612 | 2011-02-25 |
| 1255589750 | Kenneth Bryce Miller | Dentist | 2809 W 95th, Evergreen Park, IL 60805 | 2008-09-09 |
| 1144417494 | Kenneth Thompson Miller Jr. | Dentist | 113 Foy Dr, Rocky Mount, NC 27804-2418 | 2007-10-01 |
| 1639375629 | Kenneth J Miller | Chiropractor | 2445 East Washington Ave, Suite B, Vinton, VA 24179 | 2007-06-26 |
| 1669592614 | Kenneth T. Miller | Emergency Medicine | 1 Fire Authority Rd, Irvine, CA 92602-0125 | 2007-03-30 |
| 1376606434 | Kenneth W Miller | Dentist | 245 Smithville Church Rd, Warner Robins, GA 31088-7803 | 2006-12-19 |
| 1447313820 | Kenneth R Miller | Chiropractor | 6729 West Stanley Avenue, Berwyn, IL 60402-3129 | 2006-12-18 |
| Street Address |
160A W TENNESSE AVE |
| City | OAK RIDGE |
| State | TN |
| Zip Code | 37830-6940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194388702 | Oak Ridge Pharmacy | Pharmacy | 854 Main St W, Oak Ridge, TN 37830 | 2019-04-18 |
| 1134682693 | Mac's Pharmacy Oak Ridge, LLC | Pharmacy | 45 New York Avenue, Oak Ridge, TN 37830 | 2019-04-11 |
| 1689153876 | Tapuwa Martin Chikowore | Dentist | 377 S Illinois Ave, Oak Ridge, TN 37830 | 2018-08-09 |
| 1710475660 | Oak Ridge Smiles Dentistry, PC | Dentist | 377 S. Illinois Ave., Oak Ridge, TN 37830 | 2018-04-26 |
| 1417344763 | Heather Cupp | Social Worker | 723 Emory Valley Road, Oak Ridge, TN 37830 | 2015-04-23 |
| 1366701534 | Quality Care From The Heart | Preferred Provider Organization | 144 Newport Drive, Oak Ridge, TN 37830 | 2012-05-09 |
| 1578838223 | Second Chance Recovery In Faith, Inc | Community/Behavioral Health | 234 W Tennessee Ave, Oak Ridge, TN 37830 | 2012-03-14 |
| 1720364615 | Douglas Miller | Pharmacist | 1299 Oak Ridge Turnpike, Oak Ridge, TN 37830 | 2011-10-24 |
| 1619263852 | Namratha Reddy Vontela | Internal Medicine | 200 New York Ave Ste 200, Oak Ridge, TN 37830 | 2011-06-27 |
| 1356658165 | Fred Lewis Stephens | Social Worker | 150 E Division Rd Ste 10, Oak Ridge, TN 37830 | 2010-09-01 |
| Find all providers in zip 37830 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841648482 | Karen Costanza | Specialist | 14 Gold Ln, Oak Ridge, NJ 07438-9023 | 2016-05-24 |
| 1215266135 | Rubin Burt Prater | Specialist | Highway 58 - Gallaher Road, K-1007, Ms-7422, Oak Ridge, TN 37831-4699 | 2009-12-24 |
| 1023129772 | Oral Surgery Specialists of Tennessee, P.C. | Specialist | 140 E Division Rd, Oak Ridge, TN 37830-6937 | 2006-08-31 |
| 1063421550 | Pathology Medical Associates, Pllc | Specialist | 129 E Division Rd, Oak Ridge, TN 37830-6907 | 2006-08-05 |
| 1629063342 | Paul Barongan | Specialist | 145 E Vance Rd, Oak Ridge, TN 37830-6528 | 2005-09-19 |
| 1427679539 | Amanda Ellice Jett | Specialist | 100 Adams Ln, Oak Ridge, TN 37830-4909 | 2020-04-29 |
| 1497206858 | Don Erick Mcilwain | Specialist | 300 Laboratory Rd, Oak Ridge, TN 37830-6911 | 2016-10-20 |
| 1295977783 | Adam B Shrewsberry | Specialist | 800 Oak Ridge Tpke, Suite A101, Oak Ridge, TN 37830-6957 | 2009-03-30 |
| 1710149075 | Allergy Associates Pa | Specialist | 200 New York Ave, Suite 250, Oak Ridge, TN 37830-5212 | 2008-06-27 |
| 1750586343 | Elaine Marie Bunick | Specialist | 200 New York Ave, Suite #160, Oak Ridge, TN 37830-5212 | 2007-06-15 |
| Find all providers in OAK RIDGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.